Heesung Park is a student in an organized health care education training program in Moreno Valley, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Heesung Park NPI is 1619430287. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
26520 CACTUS AVE
MORENO VALLEY, CA
ZIP 92555-927
Phone: (951) 486-4381
The enumeration date for this NPI number is 4/10/2019 and was last updated on 4/10/2019.